ABSTRACT
This chapter explains the key principles in the management of complex pediatric colorectal diagnoses. It provides case-based presentations, radiographic images, operative images with multiple choice questions to test knowledge. The chapter presents a case study of a child with a previous history of Hirschsprung-associated enterocolitis (HAEC). Currently, the child has a history of diarrhea with foul smelling stool, has a distended abdomen, and the abdominal radiograph shows multiple air fluid levels. Laboratory results demonstrate leukocytosis. On review, the child has been suffering from foul smelling and bloody stool. On physical examination, the abdomen is distended, there is an explosive release of stool on digital rectal examination, and the child has a fever. The radiology demonstrates pneumatosis and dilated loops.
